6SE-31647-93342
4 vaccinations
17 coded responses
43 check-ins
16 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 221 / VA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-05
Dose 1 — Moderna
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2021-01-06
Registered in v-safe
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Paraesthesia — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Metallic taste. Slightly lower tasting. Light tingling in my faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Muscle or body achesFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Good · Joint pains, Muscle or body achesFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-19
- 2021-01-26
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2021-02-02
Dose 2 — Moderna
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2021-02-02
Survey response — day 0, dose 2MedDRA: Muscular weakness — Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tirednessFree text: Feeling muscle weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Facial pain, Pain in extremity, Paraesthesia — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Tingling and pain in my face,fingers and toesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
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2021-03-16
Survey response — day 42, dose 2MedDRA: Chest discomfort, Chest pain, Dyspnoea, Pain in extremity — Feeling: FairFree text: Chest pain, 5-6/10 intensity, like pressure, last few minutes, sometimes with light shortness of breath. Pain in the tip of my fingers, very oftenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — 3 months, dose 2MedDRA: Asthenia, Tinnitus — Feeling: GoodFree text: Low energy. TinitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-03
Survey response — 6 months, dose 2MedDRA: Arthralgia, Chest pain — Feeling: GoodFree text: Chest pain. Joint painMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-02
Survey response — 12 months, dose 2MedDRA: Ageusia, Chills, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: I have fever, chills, sore throat and lost of tasteMedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Dose 3 — Pfizer-BioNTech
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2022-04-27
Survey response — day 7, dose 3MedDRA: Dizziness, Headache — Feeling: GoodFree text: I had a moderate headache and dizziness 3 days after the injectionMedDRA releases: 2024-11 · check-in free text available
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2022-05-09
Survey response — day 21, dose 3MedDRA: Headache, Night sweats, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tinnitus and head aches. Night sweats.MedDRA releases: 2024-11 · check-in free text available
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2022-05-09
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-10
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2022-05-10
Call successfulDoes not wish to fill out VAERS report
- 2022-05-18
- 2022-05-23
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2022-05-30
Survey response — day 42, dose 3MedDRA: Back pain, Neck pain — Feeling: FairFree text: Back pain, neck painMedDRA releases: 2024-11 · check-in free text available
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2022-07-18
Survey response — 3 months, dose 3MedDRA: Headache — Feeling: FairFree text: Head aches almost everydayMedDRA releases: 2024-11 · check-in free text available
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2022-10-15
Dose 4 — Pfizer-BioNTech
- 2022-10-17
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2022-10-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-10-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-10-19
- 2022-10-20
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2022-10-21
Survey response — days 1–6 daily, dose 4MedDRA: Chest discomfort, Chest pain — Feeling: FairFree text: Chest pain, tightness in my chest.MedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Survey response — day 7, dose 4MedDRA: Paraesthesia — Feeling: Fair · Fever · Chills, Fatigue or tirednessFree text: Tingling on my left side of my face!!!!MedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-11-21
- 2023-01-14
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2023-04-17
Survey response — 6 months, dose 4MedDRA: Phlebitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-04-17
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2022-04-18 | Pfizer-BioNTech | No |
| 4 | 2022-10-15 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Metallic taste. Slightly lower tasting. Light tingling in my face
Systemic reaction (other): Sore throat
Systemic reaction (other): Chest pain
Systemic reaction (other): Chest pain
Release 3 — day 0, dose 2
Systemic reaction (other): Feeling muscle weakness
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Tingling and pain in my face,fingers and toes
Release 5 — day 42, dose 2
Symptoms: Chest pain, 5-6/10 intensity, like pressure, last few minutes, sometimes with light shortness of breath. Pain in the tip of my fingers, very often
Release 8 — 3 months, dose 2
Symptoms: Low energy. Tinitus
Release 9 — 6 months, dose 2
Symptoms: Chest pain. Joint pain
Release 11 — 12 months, dose 2
Symptoms: I have fever, chills, sore throat and lost of taste
Release 11 — day 7, dose 3
Systemic reaction (other): I had a moderate headache and dizziness 3 days after the injection
Release 11 — day 21, dose 3
Symptoms: Tinnitus and head aches. Night sweats.
Release 11 — day 42, dose 3
Symptoms: Back pain, neck pain
Release 12 — 3 months, dose 3
Symptoms: Head aches almost everyday
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Chest pain, tightness in my chest.
Release 12 — day 7, dose 4
Systemic reaction (other): Tingling on my left side of my face!!!!
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Ageusia | · | · | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Phlebitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release